<!DOCTYPE html>
<html lang="zh" xmlns:th="http://www.thymeleaf.org" >
<head>
    <th:block th:include="include :: header('新增记录用户的详细提款信息')" />
</head>
<body class="white-bg">
    <div class="wrapper wrapper-content animated fadeInRight ibox-content">
        <form class="form-horizontal m" id="form-drawrecord-add">
            <div class="form-group">    
                <label class="col-sm-3 control-label">QQ：</label>
                <div class="col-sm-8">
                    <input name="qq" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">会员ID：</label>
                <div class="col-sm-8">
                    <input name="userid" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">会员真实姓名：</label>
                <div class="col-sm-8">
                    <input name="realname" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">身份证：</label>
                <div class="col-sm-8">
                    <input name="idcard" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">手机：</label>
                <div class="col-sm-8">
                    <input name="mobile" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">邮箱：</label>
                <div class="col-sm-8">
                    <input name="email" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">提款流水号：</label>
                <div class="col-sm-8">
                    <input name="drawno" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">提款金额：</label>
                <div class="col-sm-8">
                    <input name="drawamount" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">与提款组合记录表中的组合编号相关联：</label>
                <div class="col-sm-8">
                    <input name="combono" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">批量处理文件名称：</label>
                <div class="col-sm-8">
                    <input name="filename" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">手续费：</label>
                <div class="col-sm-8">
                    <input name="fee" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">账户号，如：银行卡号，支付宝，快钱或财付通的账户：</label>
                <div class="col-sm-8">
                    <input name="plataccount" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">银行名称：</label>
                <div class="col-sm-8">
                    <input name="bankname" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">银行编号：</label>
                <div class="col-sm-8">
                    <input name="bankcode" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">开户行：</label>
                <div class="col-sm-8">
                    <input name="bankinfo" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">1-借记卡，2-信用卡：</label>
                <div class="col-sm-8">
                    <select name="cardtype" class="form-control m-b">
                        <option value="">所有</option>
                    </select>
                    <span class="help-block m-b-none"><i class="fa fa-info-circle"></i> 代码生成请选择字典属性</span>
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">省：</label>
                <div class="col-sm-8">
                    <input name="province" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">市：</label>
                <div class="col-sm-8">
                    <input name="city" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">0-非当日，1-当日：</label>
                <div class="col-sm-8">
                    <input name="dayflag" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">0-异地，1-同城：</label>
                <div class="col-sm-8">
                    <input name="cityflag" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">后台操作员ID：</label>
                <div class="col-sm-8">
                    <input name="operatorid" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">后台操作员用户名：</label>
                <div class="col-sm-8">
                    <input name="operator" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">0-初始化，1-通知失败，2-处理完成，3-取消提款，9-审核通过，7银行处理失败：</label>
                <div class="col-sm-8">
                    <div class="radio-box">
                        <input type="radio" name="drawstatus" value="">
                        <label th:for="drawstatus" th:text="未知"></label>
                    </div>
                    <span class="help-block m-b-none"><i class="fa fa-info-circle"></i> 代码生成请选择字典属性</span>
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">0-非批量处理：</label>
                <div class="col-sm-8">
                    <input name="batchflag" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">0-未发，1-已发：</label>
                <div class="col-sm-8">
                    <input name="sendflag" class="form-control" type="text">
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">提款类型：0：银行卡，1：支付宝；2：快钱，3：财付通：</label>
                <div class="col-sm-8">
                    <select name="drawtype" class="form-control m-b">
                        <option value="">所有</option>
                    </select>
                    <span class="help-block m-b-none"><i class="fa fa-info-circle"></i> 代码生成请选择字典属性</span>
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">是否发送短信 0：不发，1：发送：</label>
                <div class="col-sm-8">
                    <div class="radio-box">
                        <input type="radio" name="sendstatus" value="">
                        <label th:for="sendstatus" th:text="未知"></label>
                    </div>
                    <span class="help-block m-b-none"><i class="fa fa-info-circle"></i> 代码生成请选择字典属性</span>
                </div>
            </div>
            <div class="form-group">    
                <label class="col-sm-3 control-label">null：</label>
                <div class="col-sm-8">
                    <input name="referencefee" class="form-control" type="text">
                </div>
            </div>
        </form>
    </div>
    <th:block th:include="include :: footer" />
    <script type="text/javascript">
        var prefix = ctx + "system/drawrecord"
        $("#form-drawrecord-add").validate({
            focusCleanup: true
        });

        function submitHandler() {
            if ($.validate.form()) {
                $.operate.save(prefix + "/add", $('#form-drawrecord-add').serialize());
            }
        }
    </script>
</body>
</html>